Document Detail


Cesarean section is not protective against adverse neurological outcome in survivors of preterm delivery due to overt chorioamnionitis.
MedLine Citation:
PMID:  12916683     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To determine whether the mode of delivery has a protective value on the immediate adverse neonatal neurological outcome of infants born from pregnancies complicated by preterm chorioamnionitis. METHODS: A comparison of the immediate and long-term neurological outcome of preterm neonates (24-34 weeks' gestation) of pregnancies complicated by chorioamnionitis, was made between those born by Cesarean section and by vaginal delivery. RESULTS: Of the 73 newborns, 54 (74%) survived the neonatal period; two (2.7%) had incomplete records, leaving 71 for analysis. Thirty (42.2%) were delivered by Cesarean section and 41 (57.7%) vaginally. The obstetric and neonatal characteristics were comparable. Twenty-four (80%) survived in the Cesarean group and 30 (73.2%) in the vaginal delivery group (NS). There was no significant difference in the immediate adverse neonatal neurological outcome between Cesarean and vaginal deliveries. CONCLUSIONS: The mode of delivery did not significantly affect the immediate neurological status of preterm infants exposed to antenatal intrauterine infection.
Authors:
S Grisaru-Granovsky; M S Schimmel; R Granovsky; Y Z Diamant; A Samueloff
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians     Volume:  13     ISSN:  1476-7058     ISO Abbreviation:  J. Matern. Fetal. Neonatal. Med.     Publication Date:  2003 May 
Date Detail:
Created Date:  2003-08-14     Completed Date:  2003-12-10     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  101136916     Medline TA:  J Matern Fetal Neonatal Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  323-7     Citation Subset:  IM    
Affiliation:
Department of Obstetrics and Gynecology, Shoaare-Zedek Medical Center Jerusalem, affiliated to Ben Gurion University, Beer Sheva, Israel.
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MeSH Terms
Descriptor/Qualifier:
Cesarean Section*
Chorioamnionitis / complications*,  drug therapy
Cohort Studies
Female
Humans
Infant, Newborn
Infant, Premature*
Male
Nervous System Diseases / congenital*,  etiology,  prevention & control
Pregnancy
Pregnancy Complications, Infectious
Pregnancy Outcome
Retrospective Studies

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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